Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

Medicare Advantage

 

The Group Retiree Medicare Advantage PPO plans for Anthem Blue Cross and Blue Shield (Anthem) members may include the National Access Plus benefit, which allows retirees to receive services from any provider, as long as the provider is eligible to receive payments from Medicare and accepts the member’s PPO plan. These PPO plans also offer benefits that original Medicare doesn’t cover, including an annual routine physical exam, hearing, vision, chiropractic care, acupuncture, LiveHealth Online and SilverSneakers®.

 

If you are already part of our Medicare Advantage PPO network, thank you. The attached FAQs will be helpful as you grow your practice and serve members who may be new to our Group Retiree PPO plans.

 

Out-of-network providers are paid Medicare allowable rates for covered services, less the members’ copayment, coinsurance and/or deductible. No contract is required.

With the National Access Plus benefit, the member’s cost share doesn’t change — whether local or nationwide; doctor or hospital; in- or out-of-network.